DR. Mark William Jacob, DDS
NPI #1275659955 in Northbrook, Illinois
Provider Information
- NPI Number
- 1275659955
- Entity Type
- Individual
- Name
- DR. Mark William Jacob, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Mar 22, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 4119 DUNDEE RD
- City
- Northbrook
- State
- Illinois
- ZIP Code
- 60062-2129
- Phone
- (847) 564-2180
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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